Towards personalized integrated dementia care: a qualitative study into the implementation of different models of case management

BMC Geriatrics

Rose-Marie Dröes²  Hein PJ Van Hout¹  Franka JM Meiland²  Lisa D Van Mierlo¹ 

[1] VU University Medical Centre, Department of General Practice and Elderly Care Medicine, EMGO + Institute for Health and Care Research, Van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands;VU University Medical Centre, Department of Psychiatry, Alzheimer Centre, EMGO Institute for Health and Care Research, Valeriusplein 9, 1075 BG Amsterdam, The Netherlands

关键词: Process analysis;    Implementation;    Dementia care;    Case management;   

Others  :  856531
DOI  :  10.1186/1471-2318-14-84

 received in 2013-09-10, accepted in 2014-06-27,  发布年份 2014

【 摘 要 】

Background

The aim of this process evaluation was to provide insight into facilitators and barriers to the delivery of community-based personalized dementia care of two different case management models, i.e. the linkage model and the combined intensive case management/joint agency model. These two emerging dementia care models differ considerably in the way they are organized and implemented. Insight into facilitators and barriers in the implementation of different models is needed to create future guidelines for successful implementation of case management in other regions.

Methods

A qualitative case study design was used; semi-structured interviews were conducted with 22 stakeholders on the execution and continuation phases of the implementation process. The stakeholders represented a broad range of perspectives (i.e. project leaders, case managers, health insurers, municipalities).

Results

The independence of the case management organization in the intensive model facilitated the implementation, whereas the presence of multiple competing case management providers in the linkage model impeded the implementation. Most impeding factors were found in the linkage model and were related to the organizational structure of the dementia care network and how partners collaborate with each other in this network.

Conclusions

The results of this process evaluation show that the intensive case management model is easier to implement as case managers in this model tend to be more able to provide quality of care, are less impeded by competitiveness of other care organizations and are more closely connected to the expert team than case managers in the linkage model.

【 授权许可】

   
2014 Van Mierlo et al.; licensee BioMed Central Ltd.

【 图 表 】

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